Dr Matthew L Glass, DC | |
1400 Marsh Landing Pkwy Ste 107, Jacksonville Beach, FL 32250-2492 | |
(904) 644-3472 | |
Not Available |
Full Name | Dr Matthew L Glass |
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Gender | Male |
Speciality | Chiropractor |
Location | 1400 Marsh Landing Pkwy Ste 107, Jacksonville Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528310877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X012784-1 (New York) | Secondary |
111N00000X | Chiropractor | CH13651 (Florida) | Primary |
Provider Name | Spinewell Disc & Joint Centers Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447746219 PECOS PAC ID: 2062765720 Enrollment ID: O20231208000027 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew L Glass, DC 1400 Marsh Landing Pkwy Ste 107, Jacksonville Beach, FL 32250-2492 Ph: (917) 595-9061 | Dr Matthew L Glass, DC 1400 Marsh Landing Pkwy Ste 107, Jacksonville Beach, FL 32250-2492 Ph: (904) 644-3472 |
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